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Dependent Origination

Photo: ctsnow

The other week while my wife and I were out jogging we watched a couple in front of us walk across the street against a red light, blissfully unconcerned as two cars had to screech to a halt in front of them.  To our amazement, the couple continued on without even a break in their conversation, as if the cars had somehow forfeited their right of way because the couple had decided they wished to cross the street at that exact moment. Continue reading…

The Caregiver's Manifesto

Photo: LaPrimaDonna

How many patients have I known over the years who’ve found themselves caught in the quicksand that is caring for a chronically ill loved one?  Too many to count, so I’ll recount just one.  Mrs. S is an elderly woman married to a retired university law professor, who has been slowly losing a battle with dementia.  Once a witty, intelligent, and self-deprecating delight of a man, over the years I’ve been caring for him, he’s gradually changed into a cantankerous, vitriolic, shell of his former self, now barely able to remember the day or month, much less the year. Continue reading…

The Difference Between Easy And Difficult

After meeting with an attending physician in a Physical Diagnosis class when I was a second-year medical student, I remember thinking how impossible it seemed that my brain would ever contain as much medical knowledge as his.  And even if somehow one day it did, how would I ever be able to call on it, manipulate it, twist it, bend it, and turn it upside down with the same apparent ease as he? Continue reading…

Listening To Your Inner Voice

A patient who held an upper-level management position in his company once told me the following story:  he was interviewing a candidate for a mid-level management position and thought, on the surface, the candidate was a star:  enthusiastic, mature, intelligent, articulate, prepared, experienced, and visionary.  After consulting with his other upper-level management peers who also interviewed the candidate, hiring him seemed a no-brainer.  And yet, my patient told me, something made him hesitate.  Something about the candidate—he still couldn’t explain what—just “rubbed him the wrong way.” Continue reading…

Handling Transitions

When I was a child, I was afraid to go to summer camp.  Most kids found the prospect exciting and the experience fun, but I dreaded it.  What would the activities be like?  Who would my counselors be?  What other kids were going?  Would I be made to swim if I didn’t want to?

After a few days, the camp routine became just that—routine—and I settled down.  But transition periods remained challenging for me throughout my adolescence.  As adults, many of us still struggle with change—even good change, like starting a new job, moving to a nicer house, or getting married.  Just what is it about transition periods we find so challenging and how can we get through them with less stress? Continue reading…